Individual provider · Type 1 NPI
Serra Boone
Professional Counselor · Leesburg, GA
NPI number
1356854897
Active
Practice location
143 Edinborough Dr
Leesburg, GA 31763-4777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC009140 (GA) |
Professional Counselor: Definition to come...
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About NPI 1356854897
Serra Boone's National Provider Identifier is 1356854897, issued on Nov 7, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leesburg, GA. The record was last updated on Nov 7, 2017.